Dr. Zheng Jueyi reply Otolaryngology Question - Page 59

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Understanding Nasal Issues: Chronic Inflammation and Possible Causes

Nasopharyngeal issues? Hello, Dr. Cheng! Last September, I experienced nasal congestion and a sore throat, which became severe after dragging on for a week or two before seeking medical attention. Since then, I have started to experience post-nasal drip, especially when brushing ...


Dr. Zheng Jueyi reply Otolaryngology
Hello, if the nasopharyngeal biopsy shows chronic inflammation and the CT scan does not indicate chronic sinusitis, and the current symptoms have improved, it is advisable to self-monitor and return for regular follow-up appointments. Concerns about tumors can be temporarily rule...

[Read More] Understanding Nasal Issues: Chronic Inflammation and Possible Causes


Understanding Unilateral Tonsil Swelling: Causes and Treatment Options

Unilateral tonsillar enlargement? Hello Doctor: I am currently abroad, and medical care is not very convenient. I would like to seek your assistance. In the past couple of days, my right tonsil has been red and swollen, and I feel a foreign body sensation, along with some tonsil ...


Dr. Zheng Jueyi reply Otolaryngology
Hello: Upon initial examination, there is no obvious pus, and it is likely that there is no bacterial infection. It is recommended to drink plenty of water and rinse your mouth frequently. If there is mild pain, you may use acetaminophen or ibuprofen for treatment. Wishing you sa...

[Read More] Understanding Unilateral Tonsil Swelling: Causes and Treatment Options


Understanding Nighttime Nasal Congestion: Allergies or Other Causes?

Nasal congestion during sleep? Hello, doctor. For the past month, I've been experiencing nasal congestion every night while sleeping. In the morning, the mucus I blow out has blood streaks or clots along with yellow nasal discharge. After blowing my nose, it becomes clear. D...


Dr. Zheng Jueyi reply Otolaryngology
Hello: Nasal congestion at night may be related to allergies, but since the mucus you are expelling contains blood streaks, clots, or yellow discharge, it is advisable to see an otolaryngologist to check for sinusitis or other nasal tumors. Wishing you safety and health. Sincerel...

[Read More] Understanding Nighttime Nasal Congestion: Allergies or Other Causes?


Echoing Sounds After Ear Cleaning: What You Need to Know

Hearing echoes after ear cleaning? I experienced echoing sounds in my ears after cleaning them, and I heard the sound of my teeth, which scared me because I am already deaf in one ear.


Dr. Zheng Jueyi reply Otolaryngology
Hello, if there is no improvement, it is recommended to visit an ENT clinic for examination. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the ENT Department, Taoyuan General Hospital, Ministry of Health and Welfare.

[Read More] Echoing Sounds After Ear Cleaning: What You Need to Know


Understanding Throat Issues: Swollen Tonsils Without Pain or Fever

Throat issues Hello Doctor: I would like to ask you about a recent issue. I have noticed some redness and swelling in my throat, but I do not have a fever, and my throat does not hurt. The right tonsil is also slightly swollen. When I used a cotton swab to examine the area of the...


Dr. Zheng Jueyi reply Otolaryngology
Hello, the tonsils are naturally rich in blood vessels and may appear red. If there are no obvious symptoms such as pain or fever, it may not necessarily indicate an infection. You can start by self-monitoring, but if you have concerns, it is advisable to seek medical evaluation ...

[Read More] Understanding Throat Issues: Swollen Tonsils Without Pain or Fever


Do You Need Surgery for Fungal Sinusitis? Exploring Treatment Options

Is surgery always necessary for the treatment of fungal sinusitis? Dear Doctor: I am a patient with Systemic Lupus Erythematosus (SLE). Recently, for about three to four weeks, I have been experiencing post-nasal drip in the early morning, producing thick yellow-green phlegm with...


Dr. Zheng Jueyi reply Otolaryngology
Hello, fungal sinusitis is indeed difficult to treat with medication. General antibiotics primarily target bacterial infections. If two weeks of antibiotics do not resolve the issue, surgical treatment is recommended. Wishing you safety and health. Sincerely, Dr. Jue-Yi Cheng, Di...

[Read More] Do You Need Surgery for Fungal Sinusitis? Exploring Treatment Options


How to Remove Tonsil Stones and Address Bad Breath Issues

Foul-smelling swallowing? Hello doctor, I would like to ask how to remove right tonsil stones on my own? I can sense an unpleasant odor in my throat (at the back of my tongue) when swallowing saliva. Does this mean that the lingual tonsils might also have stones, not just the two...


Dr. Zheng Jueyi reply Otolaryngology
Hello: Lingual tonsils generally have fewer stones. For stones in the palatine tonsils on both sides, it is recommended to drink plenty of water and rinse your mouth frequently, or you may gently clean with a cotton swab. If you are unable to manage it on your own, you can visit ...

[Read More] How to Remove Tonsil Stones and Address Bad Breath Issues


Understanding Lymphadenopathy: When to Seek Treatment and Concerns

Lymphatic microedema Hello, doctor. I was hospitalized recently due to lymphadenitis, and the results from the blood tests and fine needle aspiration seemed to indicate a viral infection. Three weeks after being discharged, the lymph nodes in my neck have reduced in size, but I c...


Dr. Zheng Jueyi reply Otolaryngology
Hello, if there are no significant abnormalities in fine needle aspiration and blood tests, and the lymph nodes are decreasing in size, it is generally considered a benign change. It is recommended to have regular follow-up appointments for monitoring. Wishing you peace and healt...

[Read More] Understanding Lymphadenopathy: When to Seek Treatment and Concerns


Understanding Unilateral Tonsil Swelling: When to Seek Further Evaluation

Unilateral tonsillar enlargement? Hello, Doctor. About three to four months ago (March 109), I noticed that one side of my tonsil was particularly swollen. At that time, I didn't have any obvious discomfort, so I delayed seeking medical attention until a few days ago (June 2...


Dr. Zheng Jueyi reply Otolaryngology
Hello: Upon initial examination, the right side appears slightly larger, but there are no obvious tumors or ulcers. If there are no significant symptoms and a physician has already evaluated the condition, self-monitoring may be appropriate, or a follow-up examination can be sche...

[Read More] Understanding Unilateral Tonsil Swelling: When to Seek Further Evaluation


Understanding Unilateral Nasal Congestion: Causes and Concerns

Unilateral nasal congestion? Hello Doctor, I have been experiencing persistent unilateral nasal congestion without any allergy symptoms. I only have nasal congestion on one side; when I sleep and change positions, if I lie on my left side, my left nostril gets congested, and if I...


Dr. Zheng Jueyi reply Otolaryngology
Hello: A general endoscopy can examine the nasopharynx for any abnormalities. If there are any changes, the physician will arrange for a biopsy to confirm. If the physician has already examined and found no abnormalities, it is recommended to have regular follow-ups. Wishing you ...

[Read More] Understanding Unilateral Nasal Congestion: Causes and Concerns


Morning Tinnitus: Why Lying Down Relieves Symptoms and What to Do

I often experience tinnitus in the morning, and it seems that I need to lie down to alleviate it? In the past few months, I have frequently experienced tinnitus in the mornings (a muffled sound, hearing my own breathing, and feeling something strange when I speak). It usually imp...


Dr. Zheng Jueyi reply Otolaryngology
Hello: The symptoms may be related to Eustachian tube dysfunction. If there is no improvement, it is recommended to visit the ENT department at the hospital for examination. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospit...

[Read More] Morning Tinnitus: Why Lying Down Relieves Symptoms and What to Do


Is Throat Pain Normal When Swallowing Rough Foods?

Pain during swallowing? Hello Dr. Cheng, a few days ago I was eating chicken that was very hard on the outside and had a drier texture. I might not have chewed it thoroughly, and when I swallowed, I felt a sharp pain in my throat, but it passed quickly. Since I have a history of ...


Dr. Zheng Jueyi reply Otolaryngology
Hello: This should be a normal phenomenon, possibly related to not chewing thoroughly and the friction from the rough surface of the food. If there is no persistent pain, you can observe it for now. Wishing you safety and health. Dr. Cheng Jue-Yi, Director of the Department of Ot...

[Read More] Is Throat Pain Normal When Swallowing Rough Foods?


Understanding Ear Pain After Crying: When to Seek Medical Help

Hello, doctor? This afternoon, I felt sad about some things and cried for a while while lying on my side (with my left ear down). I also had a bit of nasal congestion. Later, I got up and forcefully blew my nose. During the first blow, my left ear started to hurt. When my mouth i...


Dr. Zheng Jueyi reply Otolaryngology
Hello, it may be related to Eustachian tube dysfunction. If you experience persistent pain, ear fullness, or hearing loss, it is advisable to visit an otolaryngology clinic for an examination. If there are no significant discomforts, you may observe your condition for now. Wishin...

[Read More] Understanding Ear Pain After Crying: When to Seek Medical Help


Should You Clean Your Ears? Expert Advice on Ear Hygiene

Please consult a doctor regarding ear cleaning issues? Hello, doctor. Sometimes my ears feel itchy, and when I take selfies with my phone, I can see earwax. I have a habit of using cotton swabs to remove it. However, the other day my brother saw me cleaning my ears and told me no...


Dr. Zheng Jueyi reply Otolaryngology
Hello: A normal ear produces earwax only in the outer third and has the ability to self-clean. It is generally not recommended to use cotton swabs to clean the ears, especially if the earwax is oily, as this can indeed push the wax further inside. Wishing you safety and health. S...

[Read More] Should You Clean Your Ears? Expert Advice on Ear Hygiene


Understanding Tonsillectomy Costs: Insurance vs. Out-of-Pocket Expenses

Tonsillectomy I would like to inquire about the cost of tonsillectomy surgery—both out-of-pocket and covered by insurance. A doctor mentioned that my tonsils are relatively large, and removal would be beneficial, especially since I frequently experience colds due to tonsillitis. ...


Dr. Zheng Jueyi reply Otolaryngology
Hello: The surgical costs are covered by health insurance. As for the use of self-paid equipment such as cryoablation probes, plasma knives, or other hemostatic materials, the prices may vary slightly between hospitals. It is recommended to consult directly with the physician at ...

[Read More] Understanding Tonsillectomy Costs: Insurance vs. Out-of-Pocket Expenses


Is Throat Pain Normal When Swallowing Rough Foods?

Pain during swallowing? Hello Dr. Cheng, a few days ago, while eating chicken that was very hard on the outside and had a drier texture, I may not have chewed it thoroughly, and I felt a sharp pain in my throat when swallowing, but it passed quickly. Since I have a history of gas...


Dr. Zheng Jueyi reply Otolaryngology
Hello: This should be a normal phenomenon, possibly related to not chewing thoroughly and the rough surface of the food causing friction. If there is no persistent pain, you can observe it for now. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Depart...

[Read More] Is Throat Pain Normal When Swallowing Rough Foods?


Understanding Sudden Morning Nosebleeds: Causes and Solutions

Nosebleed Hello, doctor. I would like to ask why I suddenly have a nosebleed in the morning without doing much lately. It has started happening recently; I used to have nosebleeds, but they weren't like this, occurring in the morning.


Dr. Zheng Jueyi reply Otolaryngology
Hello: Commonly associated with nasal microvascular rupture bleeding, if the bleeding persists without improvement, it is recommended to visit an otolaryngologist for examination. Wishing you safety and health. Director of the Department of Otolaryngology, Taoyuan Hospital, Minis...

[Read More] Understanding Sudden Morning Nosebleeds: Causes and Solutions


Understanding Tonsil Inflammation: Causes, Symptoms, and Remedies

Fatigue-induced throat inflammation? Hello Doctor: Recently, I've been quite busy with work and have been going to bed late (around one or two in the morning). Today, I suddenly felt some discomfort in my tonsils, with a sensation of something foreign, similar to the feeling...


Dr. Zheng Jueyi reply Otolaryngology
Hello: When immunity is low or during periods of excessive fatigue, inflammation of the tonsils may occur due to viral infections. It is advisable to drink plenty of water and maintain a regular schedule. If there is pain, ibuprofen can be used to reduce inflammation and relieve ...

[Read More] Understanding Tonsil Inflammation: Causes, Symptoms, and Remedies


Understanding Tongue Issues: Causes of Teeth Marks and White Lines

Tongue issues? I would like to inquire about my tongue, which seems to have some indentations resembling teeth marks, along with some spots. There are also white lines on the sides of my tongue. What could be the reason for this?


Dr. Zheng Jueyi reply Otolaryngology
Hello: Regarding common issues related to tongue indentations, if there are no obvious painful ulcers, you may observe it first. If you have concerns, you can visit an otolaryngologist or a dentist for confirmation. Wishing you peace and health. Sincerely, Dr. Jue-Yi Cheng, Direc...

[Read More] Understanding Tongue Issues: Causes of Teeth Marks and White Lines


Understanding Ear Pain and Congestion After Nose Blowing

Ear problems While lying down and blowing my nose during sleep, I suddenly felt a sensation of fluid flowing into my ear. After sitting up, my ear started to hurt, especially when I blew my nose, and it felt like there was something inside being pushed open, followed by a popping...


Dr. Zheng Jueyi reply Otolaryngology
Hello: It is possible that the nasal secretions may have traveled to the middle ear through the Eustachian tube when blowing your nose. If you continue to experience ear pain or difficulty hearing, it may be related to otitis media or middle ear effusion. If the symptoms persist ...

[Read More] Understanding Ear Pain and Congestion After Nose Blowing


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